Dianne S Morse, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

11855 Issued in FL

Practice address

2199 A1A S
St Augustine, FL 32080-6513

Phone

(904) 471-3300

Fax

(904) 471-5240

NPI assigned

Jun 29, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dianne S. Morse Family Dentistry, PLLC

  • General Practice Dentistry
  • St Augustine, FL
  • NPI 1326383159
  NPD (past) Authorized official
• William J Morse Family Dentistry Inc.

  • General Practice Dentistry
  • St Augustine, FL
  • NPI 1205878071
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1528096211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2199 A1A S",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320806513",
            "telephone_number": "904-471-3300",
            "fax_number": "904-471-5240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2199 A1A S",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320806513",
            "telephone_number": "904-471-3300",
            "fax_number": "904-471-5240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORSE",
        "first_name": "DIANNE",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "11855",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NO",
            "identifier": "DN11855",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Morgan, CCC-SLP
• Wanda Lynne Morgan, ARNP
• Elleigh Morles
• Courteney Morris
• Simone Morris
• Gloria R Morse, CNA
• William J Morse, DDS
• Mosaic Psychological and Wellness Center
• Samantha Jean Mosley
• Moultrie Pharmacy Inc

• General Practice Dentistry in St Augustine, FL
• Providers in St Augustine, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.